Dr Samuel Isaac Frost, DO | |
4025 N 92nd St, Wauwatosa, WI 53222-1613 | |
(608) 213-6295 | |
Not Available |
Full Name | Dr Samuel Isaac Frost |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 4025 N 92nd St, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861704223 | NPI | - | NPPES |
1861704223 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036147654 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 56969 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
West Allis Memorial Hospital | West allis, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Amg Illinois Ltd | 8527117027 | 26 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | University Of Wisconsin Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Isaac Frost, DO 4025 N 92nd St, Wauwatosa, WI 53222-1613 Ph: (414) 358-5437 | Dr Samuel Isaac Frost, DO 4025 N 92nd St, Wauwatosa, WI 53222-1613 Ph: (608) 213-6295 |
Dr. Vincent Phillips Banker, MD Radiology Medicare: Medicare Enrolled Practice Location: 7310 Wellauer Dr, Wauwatosa, WI 53213 Phone: 414-475-1342 | |
Dr. Gregg Michael Gaylord, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 805 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-988-6773 Fax: 414-301-7253 | |
Adam P Myhre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5448 | |
Henry Joseph Duffrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5437 Fax: 414-358-5451 | |
Vikram Bamra, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5437 Fax: 414-358-5421 | |
Ryan Sydnor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 216-210-5521 |